{"npi":"1184698516","type":"NPI-1","status":"active","name":{"display":"Kenneth Harris MD","other":[],"first":"KENNETH","last":"HARRIS","middle":"WAYNE","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"CO","license":"CDRH.0059064"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"A-45727"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"AL","license":"MD13956"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"AR","license":"E-11971"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"WA","license":"MD60906292"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 S NEVADA AVE","city":"MONTROSE","state":"CO","postal_code":"814014273","country_code":"US","phone":"9702497751","fax":"9702495029"},{"purpose":"MAILING","street_1":"240 PELLO LN","city":"NEVADA CITY","state":"CA","postal_code":"959598337","country_code":"US","phone":"9012291609"}],"license":{"state":"CA","number":"A-45727"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3096568","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130516000136","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"AL","pac_id":"8022096932"},{"enrlmt_id":"I20170817002029","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CO","pac_id":"8022096932"},{"enrlmt_id":"I20200229000157","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"8022096932"}]},"enumeration_date":"2006-02-14","last_updated":"2025-09-24","_meta":{"source":"NPPES","snapshot_date":"2025-09-24","doc_url":"https://findmynpi.com/api"}}